Awareness of limited joint mobility in type 2 diabetes in general practice in the Netherlands: an online questionnaire survey

Alabdali, Login Ahmed S.; Jaeken, Jasmien; Dinant, Geert-Jan; Ottenheijm, Ramon P G

doi:10.1186/s12875-019-0987-7

Cited by 9 publications

(4 citation statements)

References 38 publications

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“…In a survey of Dutch primary care physicians and nurse practitioners, it was found that a majority did not know that limited joint mobility of the upper extremities was a complication to DM. 24 In addition, around 63% of nurse practitioners believed that screening for this complication should be done regularly, but a quarter of primary care physicians thought it was worthwhile.…”

Section: Discussionmentioning

confidence: 99%

The Danish Diabetes Musculoskeletal Cohort: Non-Responder Analysis of an Electronic Survey Using Registry Data

Boyle¹,

Folkestad²,

Frafjord³

et al. 2021

CLEP

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Purpose To conduct a non-responder analysis on a musculoskeletal (MSK) electronic questionnaire. Methods Individuals aged 18 years and older, diagnosed with diabetes mellitus (DM), and attended an ambulatory DM clinic formed the sample frame. They were invited to complete an electronic musculoskeletal (MSK) conditions and symptoms questionnaire booklet using a secured electronic email system. Individuals whose secured email box was not active at the time were discarded. Using the Central Person Registry number, a unique number assigned to all Danish residents, we linked the sample frame to different registries to learn more about non-responders. Non-responders were either individuals who did not respond to a single question and those who responded “No” to the first question about willing to participate. We calculated descriptive statistics for each characteristic. Univariate logistic regression models were conducted to determine the relationship between each characteristic and non-responder status. Results The response rate was 36% (n = 3812). Individuals with type 2 DM (OR 2.0 (95% CI 1.8–2.2)), secondary DM (1.9 (1.3–2.8)) or unspecified DM (2.1 (1.8–2.4)) were more likely to be non-responders than individuals with Type 1 DM. Also, individuals aged 70–79 (1.3 (1.1–1.6)) and 80 years and older (5.9 (4.5–7.7)) were more likely to be non-responders than 18–29 years old individuals. However, individuals aged 40–49 (1.5 (1.2–1.8)), 50–59 (1.5 (1.3–1.8)) or 60–69 (1.4 (1.1–1.6)) were more likely to be responders than 18–29 years old individuals. Individuals with Charlson Comorbidity Index (CCI) of 1 (2.0 (1.3.2.9) or CCI of 2 (1.7 (1.1–2.5) were more likely to be responders than individuals with a CCI of 0. Lastly, individuals who were currently outside of the workforce (1.6 (2.4–2.9) or had unknown/missing socioeconomic status (3.9 (2.8–5.3) were more likely to be non-responders than individuals who were working. Conclusion Although we did find a non-response bias, this cohort will be an important source to determine the prevalence and consequences of MSK conditions in a secondary care DM population.

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Section: Discussionmentioning

confidence: 99%

The Danish Diabetes Musculoskeletal Cohort: Non-Responder Analysis of an Electronic Survey Using Registry Data

Boyle¹,

Folkestad²,

Frafjord³

et al. 2021

CLEP

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“…Various reports have indicated that diabetic cheiroarthropathy is one of the most common musculoskeletal disorders among diabetic patients 8 . According to the study involving general practitioners, it is noteworthy that a significant percentage of them are unaware that limited joint mobility syndrome can be a complication of type 2 diabetes, and their lack of awareness regarding upper extremity disorders ranges from 59 to 73% 9 .…”

Section: Discussionmentioning

confidence: 99%

Diabetic cheiroarthropathy in uncontrolled type 2 diabetes with positive anti-nuclear antibodies: a case report from Sudan

Abdalla,

Gamar,

Taha

et al. 2024

Annals of Medicine &Amp; Surgery

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Background: Diabetic cheiroarthropathy, also known as limited joint mobility, is one of the long-standing complications of type 2 Diabetes Mellitus (DM). It affects 8-50% of patients with type 1 diabetes and is also seen in type 2 diabetic patients. Consequently, it can mimic many rheumatological diseases and is often underdiagnosed. We present a case of a long-standing poorly controlled diabetes with diabetic cheiroarthropathy and diabetic neuropathy, along with positive ANA in the absence of any correlated autoimmune or rheumatological diseases. Case presentation: A 52-year-old female patient with poorly controlled diabetes (her last HbA1c reading was 9.5%) presented to Rheumatology clinic with flexion deformities of the fingers. The patient has impaired vibration, two-point discrimination and pinprick sensation in gloves and stock distribution, indicating peripheral neuropathy, entrapment neuropathy in the forms of bilateral carpal tunnel syndrome, and the diagnosis of diabetic cheiroarthropathy was made. Additionally, she has a positive prayer sign and tabletop sign. Despite the absence of symptoms and signs of autoimmune disorders, this patient has positive antinuclear antibodies global (ANA positive by Indirect Immuno-Fluorescence (IIF) 1\320 nucleolar pattern) with a negative: ANA profile, rheumatoid factor (RF) and Anticyclic Citrullinated Peptide Antibody (ACPA). Conclusion: Regular and careful hands examination should be part of clinical assessment for diabetic patients as it could be a very simple and useful screening tool for diabetic cheiroarthropathy. Physicians can use this condition as a mirror for microvascular complications of diabetes. This allows for early detection and appropriate interventions to prevent further progression of diabetes-related complications. It is also essential to consider the presence of positive ANA in diabetic cheiroarthropathy despite the absence of any rheumatological and autoimmune diseases.

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“…Three studies investigated knowledge about specific complications, i.e., Charcot neuroarthropathy, limited joint mobility (LJM) and non-alcoholic fatty liver disease (NAFLD). Bilello found inconsistent knowledge about managing Charcot neuroarthropathy among internal medicine physicians and GPs (58), and Alabdali found that most GPs who were asked were unaware that LJM is a diabetes complication (59). Lastly, Gracen found a gap in clinical practice related to the implementation of clear, evidence-based guidelines for NAFLD (60).…”

Section: Complicationsmentioning

confidence: 99%

Information needs for general practitioners on type 2 diabetes in Western countries. A systematic review

Helms Andersen,

Marcussen,

Norgaard

2024

Br J Gen Pract

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Background: Most people with type 2 diabetes receive treatment in primary care by general practitioners who are not specialised in diabetes. Thus, it is important to uncover the most essential information needs regarding type 2 diabetes in general practice. Aim: To identify information needs related to type 2 diabetes for general practitioners. Design and Setting: A systematic review focused on literature relating to Western countries. Method: We searched the databases MEDLINE, Embase, PsycInfo and CINAHL from inception to January 2024. Two researchers conducted the selection process, and citation searches were performed to identify any relevant articles missed by the database search. Quality appraisal was conducted with the Mixed Methods Appraisal Tool. Meaning units were coded individually, grouped into categories, and then studies were summarized within the context of these categories using narrative synthesis. An evidence map was created to highlight research gaps. Results: Thirty-nine included studies revealed eight main categories and 37 subcategories of information needs. Categories were organised into a comprehensive hierarchical model of information needs, suggesting that ‘Knowledge of guidelines’ and ‘Reasons for referral’ encompass more specific information needs. The evidence map shows geographical distribution of categories and knowledge gaps in qualitative research on management and risk factors. Conclusion: This systematic review provides GPs, policy makers, and researchers with a hierarchical model of information and educational needs for GPs, and an evidence map showing gaps in the current literature. Information needs about clinical guidelines and reasons for referral to specialised care overlapped with needs for more specific information.

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Awareness of limited joint mobility in type 2 diabetes in general practice in the Netherlands: an online questionnaire survey

Cited by 9 publications

References 38 publications

The Danish Diabetes Musculoskeletal Cohort: Non-Responder Analysis of an Electronic Survey Using Registry Data

The Danish Diabetes Musculoskeletal Cohort: Non-Responder Analysis of an Electronic Survey Using Registry Data

Diabetic cheiroarthropathy in uncontrolled type 2 diabetes with positive anti-nuclear antibodies: a case report from Sudan

Information needs for general practitioners on type 2 diabetes in Western countries. A systematic review

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